HESI PN EXIT PRACTICE TEST 2026 | VERIFIED ANSWERS | EXAM PREP

HESI PN EXIT PRACTICE TEST 2026 | VERIFIED ANSWERS | EXAM
PREP

1. PowerPoint review question 1: Which acid- vc vc vc vc vc




base imbalance results from impaired respiratory function?
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v c Metabolic acidosis vc




v c Respiratory alkalosis v c




v c Metabolic alkalosis vc




v c Respiratory acidosis vc




2. Why is obtaining a detailed report from the transferring nurse crucial for conti
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nuity of care? vc vc




v c It documents the client's wishes regarding heroic measures.
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v c It allows the nurse to reassure the client about family visits.
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v c It provides the client with necessary end-of-life care information.
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v It ensures that all relevant patient information is communicated to m
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aintain safe and effective care. vc vc vc vc




3. A client is admitted to the ER and a diagnosis of myxedema coma is made. Whic
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hactionshouldthenursepreparetocarryoutINITIALLY?
c
v c
v c
v c
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v c
v c
v c
v c
v




v c monitor IV fluids vc vc




v c warm the client vc vc




v c maintain a patient airway vc vc vc




v c administer thyroid hormone v c v c




4. Which assessment would the nurse prioritize when a patient with pulmonary ede
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ma caused by heart failure (HF) receives IV diuretics?
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, v c Heart rate vc




v c Pulse oximetry vc




v c Urinary output vc




v c Cardiac rhythm vc




5. What is the primary intervention a nurse should implement for a client with mult
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i-organfailureduetosepsis? v
c v
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v c Keep head of bed raised 45 degrees
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v c Maintain strict intake and output v c vc vc vc




v c Monitorblood glucose level vc vc vc




v c Assess warmth of extremities vc vc vc




6. If a client with type 2 diabetes mellitus presents with numbness in the fingerti
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ps and is also experiencing weakness and palpitations, what should the nurse pri
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oritize in their assessment? vc vc vc




v c Assess the client's blood glucose levels. vc vc vc vc v c




v c Checktheclient'sblood pressure. c
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v c Evaluatetheclient's sodium levels. vc vc vc vc




v c Administer a potassium supplement. vc vc v c




7. In a scenario where a 4-year-
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old child with hydrocephalus presents with increased irritability and vomiting
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,what should the nurse assessforas a priority?
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v c Signs of infection vc vc




Signs of increased intracranial pressure
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v c Signs of allergic reaction vc vc vc

, v c Signs of dehydration vc vc




8. The nurse is reviewing the diagnostic tests prescribed for a client with a positiv
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e skin test. Which subjective findings reported by the client supports the diagno
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sis of tuberculosis?
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v c Barking cough and vomiting vc vc vc




v c Chroniccoughandfattystools vc vc vc c
v




v c Dry cough and chest tightness
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v c Mucopurulent cough and night sweats v c v c v c v c




9. Describe how increased head circumference and bulging fontanels relate to incr
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eased intracranial pressure in pediatric patients.
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vIncreased head circumference and bulging fontanels are signsof nor
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mal growth in toddlers. vc vc vc




Increased head circumference and bulging fontanels indicate that t
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he pressure inside the skull is rising, which can occur due to cond
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itions like hydrocephalus. vc vc




These findings indicate that the child is experiencing a respiratory infe
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ction.

vc These signssuggest that the child isdehydrated and needsfluid replacement.
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10. What is the first action a nurse should take when a client presents with gree
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nish-brownvaginaldischargeinlaboranddelivery? c
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v c
v




v c Begin continuous fetal monitoring vc v c v c




v c Start an intravenous infusion v c vc vc




v c Administer oxygen via facemask vc vc vc

, v c Perform a vaginal exam vc vc vc




11. In a scenario where a post-
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operative patient exhibits signs of hypovolemia, including a saturated perineal p
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ad and decreased urinary output, how should the nurse prioritize theiractions?
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v




v c v c The nurse should document the findings before taking any action.
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v c v c The nurse should administer IV fluids without further assessment.
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The nurse should first assess the patient's vital signs and level of conscious
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ness to evaluate hemodynamic status. vc vc vc vc




v c The nurse should immediately change the perineal pad tomanage bleeding.
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12. In a scenario where multiple clients are presenting with gastrointestinal issu
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es, how should the nurse prioritize assessments if a new client arrives withseve
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v




reabdominalpainandrigidity?
c
v c
v c
v c
v




v c Prioritize the client with abdominal distention. vc vc vc vc vc




v c Assess the client with greenish fluid drainage next. vc vc vc vc vc vc vc




v c Assess the new client with severe abdominal pain and rigidity first.
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v c v c Continue with the assessment of the client with absent bowel sounds. v c v c v c v c v c v c v c v c v c v c




13. Medicalcontrolordersyoutoinfuse20cc/kgof0.9%sodiumchlorideto your 1c
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76 lb. patient over 4 hours. You have 1000 cc bags of IV fluids and a 10 gtt/mLadmi
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nistration set. How many drops per minute should you infuse? vc vc vc vc vc vc vc vc vc




v c 42 gtt/minute vc




v c 147 gtt/minute vc




v c 67 gtt/minute vc




v c 54 gtt/minute vc